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Individual

CAROLINE R MCKINNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, PMHCNS-BC

Contact information

Practice address
688 LAMBETH DR, EVANS, GA 30809-4272
(706) 721-6779
Mailing address
688 LAMBETH DR, EVANS, GA 30809-4272
(706) 721-6779

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN186809
GA

Other

Enumeration date
10/12/2017
Last updated
10/12/2017
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